[Federal Register: November 30, 2005 (Volume 70, Number 229)]
[Notices]
[Page 71805-71806]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30no05-30]
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DEPARTMENT OF DEFENSE
Office of the Secretary
Submission for OMB Review; Comment Request
ACTION: Notice.
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The Department of Defense has submitted to OMB for clearance, the
following proposal for collection of information under the provisions
of the Paperwork Reduction Act (44 U.S.C. Chapter 35).
DATES: Consideration will be given to all comments received by December
30, 2005.
Title and OMB Number: TRICARE Dental Program (TDP) Claim Form, OMB
Number 0720-0035.
Type of Request: Extension.
Number of Respondents: 56,512.
Responses Per Respondent: 62.
Annual Responses: 3,503,744.
Average Burden Per Response: 15 minutes.
Annual Burden Hours: 875,936.
Needs and Uses: The TDP claim form is required to gather
information to make payment for legitimate dental claims and to assist
in contractor surveillance and program integrity investigations and to
audit financial transactions where the Department of Defense has a
financial stake. The information from the claim form is also used to
provide important cost share explanations to the beneficiary.
Affected Public: Business or other for-profit.
Frequency: On Occasion.
Respondent's Obligation: Voluntary.
OMB Desk Officer: Mr. John Kraemer.
Written comments and recommendations on the proposed information
collection should be sent to Mr. Kraemer at the Office of Management
and Budget, Desk Officer for DoD Health, Room 10102, New Executive
Office Building, Washington, DC 20503.
DOD Clearance Officer: Ms. Patricia Toppings.
Written requests for copies of the information collection proposal
should
[[Page 71806]]
be sent to Ms. Toppings, WHS/ESD/Information Management Division, 1777
North Kent Street, RPN, Suite 11000, Arlington, VA 22209-2133.
Dated: November 22, 2005.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 05-23487 Filed 11-29-05; 8:45 am]
BILLING CODE 5001-06-M